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<body>
    <div class="content-report">
        <div class="row">
            <div class="col-md-8 col-md-offset-2">
                <div class="card">
                    <div class="card-title">
                        <div style="margin-bottom: 0px; border-bottom: #dddddd; border-bottom-style: solid; padding-bottom: 25px">
                            <div class="pull-left">公司</div>
                            <div class="pull-right">受控文件号</div>
                        </div>
                    </div>
                    <div class="card-body text-center">
                        <p><strong style="font-size: large">曳引驱动电梯年度自检报告</strong></p>
                        <table class="report-table report-table-bordered">
                            <tbody>
                            <tr>
                                <td>使用单位名称</td>
                                <td colspan="3">111111</td>
                                <td>报告编号</td>
                                <td>111111000120190404</td>
                            </tr>
                            <tr>
                                <td>使用地点及编号</td>
                                <td colspan="3">sydd L1</td>
                                <td>使用单位代码</td>
                                <td>111111</td>
                            </tr>
                            <tr>
                                <td>设备品种</td>
                                <td colspan="3">曳引驱动乘客电梯</td>
                                <td>识别码</td>
                                <td>111111</td>
                            </tr>
                            <tr>
                                <td>型 号</td>
                                <td colspan="3">111111</td>
                                <td>控制方式</td>
                                <td>集选</td>
                            </tr>
                            <tr>
                                <td>制造(改造)单位名称</td>
                                <td colspan="3">111</td>
                                <td>产品编号</td>
                                <td>111111</td>
                            </tr>
                            <tr>
                                <td>额定速度</td>
                                <td>1.0 m/s</td>
                                <td>额定载重量</td>
                                <td>1000 kg</td>
                                <td>层站门</td>
                                <td>5层5站5门</td>
                            </tr>
                            <tr>
                                <td rowspan="2">安全管理人员证</td>
                                <td>1111</td>
                                <td colspan="2">证号：11111</td>
                                <td>联系人</td>
                                <td>1111</td>
                            </tr>
                            <tr>
                                <td>（作业人员证）</td>
                                <td colspan="2">证号：11111</td>
                                <td>联系电话</td>
                                <td>13011111111</td>
                            </tr>
                            <tr>
                                <td>维保合同</td>
                                <td>编号</td>
                                <td>1111</td>
                                <td>维保期</td>
                                <td colspan="2">15/09/2018 ～ 15/09/2018</td>
                            </tr>
                            <tr>
                                <td>□轿厢装修</td>
                                <td>□读卡器</td>
                                <td>□自动救援</td>
                                <td>□能量反馈</td>
                                <td>□物联网</td>
                                <td></td>
                            </tr>
                            <tr>
                                <td colspan="6"><strong>检验结论</strong></td>
                            </tr>
                            <tr>
                                <td colspan="6"><h4>经检验，该电梯符合相关法规、规章、安全技术规范要求。</h4>
                                    <h3><strong>合格</strong></h3>
                            </tr>
                            <tr>
                                <td style="text-align: center">
                                    <p>检验(签章)：</p>
                                </td>
                                <td colspan="3"></td>
                                <td colspan="2" rowspan="3">
                                    <p>维保单位(盖章)</p>
                                </td>
                            </tr>
                            <tr>
                                <td style="text-align: center">
                                    <p>审核(签章)：</p>
                                </td>
                                <td colspan="3"></td>
                            </tr>
                            <tr>
                                <td>日期</td>
                                <td colspan="3"></td>
                            </tr>
                            <tr>
                                <td>备注</td>
                                <td colspan="5"></td>
                            </tr>
                            </tbody>
                        </table>
                        <h3><strong>自检项目表</strong></h3>
                        <table class="report-table report-table-bordered">
                            <thead>
                                <td><strong>序号</strong></td>
                                <td><strong>类别</strong></td>
                                <td colspan="3"><strong>自检项目及其内容</strong></td>
                                <td><strong>自检结果</strong></td>
                                <td><strong>自检结论</strong></td>
                            </thead>
                            <tbody>
                                <tr>
                                    <td rowspan="5">1</td>
                                    <td rowspan="5">B</td>
                                    <td rowspan="5">1技术资料</td>
                                    <td rowspan="5">1.4使用资料</td>
                                    <td>(1)使用登记资料</td>
                                    <td>符合</td>
                                    <td rowspan="5">合格</td>
                                </tr>
                                <tr>
                                    <td>(2)安全技术档案</td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td>(3)管理规章制度</td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td>(4)日常维护保养合同</td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td>(5)特种设备作业人员证</td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td rowspan="3">2</td>
                                    <td rowspan="3">C</td>
                                    <td rowspan="20">2机房(机器设备间)及相关设备</td>
                                    <td rowspan="3">2.1通道和通道门</td>
                                    <td>(1)通道设置</td>
                                    <td>符合</td>
                                    <td rowspan="3">合格</td>
                                </tr>
                                <tr>
                                    <td>(2)通道照明</td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td>(3)通道门</td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td>3</td>
                                    <td>C</td>
                                    <td colspan="2">2.5(1)机房照明、照明开关</td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td>4</td>
                                    <td>B</td>
                                    <td colspan="2">2.6(2)主开关与照明等电路的控制关系</td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td rowspan="4">5</td>
                                    <td rowspan="4">B</td>
                                    <td rowspan="4">2.7驱动主机</td>
                                    <td>(2)工作状况</td>
                                    <td>符合</td>
                                    <td rowspan="4">合格</td>
                                </tr>
                                <tr>
                                    <td>(3)轮槽磨损</td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td>(4)制动器动作情况</td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td><strong>(5)手动紧急操作装置</strong></td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td rowspan="6">6</td>
                                    <td rowspan="6">B</td>
                                    <td rowspan="6">2.8控制柜、紧急操作和动态测试装置</td>
                                    <td>(2)断错相保护</td>
                                    <td>符合</td>
                                    <td rowspan="6">合格</td>
                                </tr>
                                <tr>
                                    <td><strong>(4)紧急电动运行装置</strong></td>
                                    <td><strong>符合</strong></td>
                                </tr>
                                <tr>
                                    <td><strong>(6)层门和轿门旁路装置</strong></td>
                                    <td><strong>符合</strong></td>
                                </tr>
                                <tr>
                                    <td><strong>(7)门回路检测功能</strong></td>
                                    <td><strong>符合</strong></td>
                                </tr>
                                <tr>
                                    <td><strong>(8)制动器故障保护</strong></td>
                                    <td><strong>符合</strong></td>
                                </tr>
                                <tr>
                                    <td><strong>(9)自动救援操作装置</strong></td>
                                    <td><strong>符合</strong></td>
                                </tr>
                                <tr>
                                    <td rowspan="3">7</td>
                                    <td rowspan="3">B</td>
                                    <td rowspan="3">2.9限速器</td>
                                    <td>(2)电气安全装置</td>
                                    <td>符合</td>
                                    <td rowspan="3">合格</td>
                                </tr>
                                <tr>
                                    <td>(3)封记及运转情况</td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td>
                                        <p>(4)动作速度校验</p>
                                        <p>(出厂日期:)</p>
                                    </td>
                                    <td>m/s</td>
                                </tr>
                                <tr>
                                    <td>8</td>
                                    <td>C</td>
                                    <td colspan="2">2.10(2)接地连接</td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td>9</td>
                                    <td>C</td>
                                    <td colspan="2">2.11电气绝缘</td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td rowspan="2">10</td>
                                    <td rowspan="2">C</td>
                                    <td rowspan="5">3井道及相关设备</td>
                                    <td rowspan="2">3.4井道安全门</td>
                                    <td>(3)门锁</td>
                                    <td>符合</td>
                                    <td rowspan="2">合格</td>
                                </tr>
                                <tr>
                                    <td>(4)电气安全装置</td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td rowspan="2">11</td>
                                    <td rowspan="2">C</td>
                                    <td rowspan="2">3.5井道检修门</td>
                                    <td>(3)门锁</td>
                                    <td>符合</td>
                                    <td rowspan="2">合格</td>
                                </tr>
                                <tr>
                                    <td>(4)电气安全装置</td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td>12</td>
                                    <td>B</td>
                                    <td colspan="2">3.7轿厢与井道壁距离</td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                            </tbody>
                        </table>
                    </div>
                    <div class="card-footer text-center">
                        <p>第1/2页</p>
                    </div>
                </div>
            </div>
            <div class="col-md-8 col-md-offset-2">
                <div class="card">
                    <div class="card-title">
                        <div style="margin-bottom: 0px; border-bottom: #dddddd; border-bottom-style: solid; padding-bottom: 25px">
                            <div class="pull-left">公司</div>
                            <div class="pull-right">受控文件号</div>
                        </div>
                    </div>
                    <div class="card-body text-center">
                        <table class="report-table report-table-bordered">
                            <thead>
                                <td><strong>序号</strong></td>
                                <td><strong>类别</strong></td>
                                <td colspan="3"><strong>自检项目及其内容</strong></td>
                                <td><strong>自检结果</strong></td>
                                <td><strong>自检结论</strong></td>
                            </thead>
                            <tbody>
                                <tr>
                                    <td>13</td>
                                    <td>B</td>
                                    <td rowspan="8">3井道及相关设备</td>
                                    <td colspan="2">3.10极限开关</td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td>14</td>
                                    <td>C</td>
                                    <td colspan="2">3.11井道照明</td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td rowspan="2">15</td>
                                    <td rowspan="2">C</td>
                                    <td rowspan="2">3.12地坑设施与装置</td>
                                    <td>(1)地坑底部</td>
                                    <td>符合</td>
                                    <td rowspan="2">合格</td>
                                </tr>
                                <tr>
                                    <td>(2)停止装置</td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td>16</td>
                                    <td>B</td>
                                    <td colspan="2">3.14(2)限速器绳张紧装置的电气安全装置</td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td rowspan="3">17</td>
                                    <td rowspan="3">B</td>
                                    <td rowspan="3">3.15缓冲器</td>
                                    <td>(3)缓冲器固定和完好情况</td>
                                    <td>符合</td>
                                    <td rowspan="3">合格</td>
                                </tr>
                                <tr>
                                    <td><strong>(4)液位和电气安全装置</strong></td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td>(5)对重越程距离</td>
                                    <td>mm</td>
                                </tr>
                                <tr>
                                    <td rowspan="2">18</td>
                                    <td rowspan="2">C</td>
                                    <td rowspan="10">4轿厢与对重(平衡重)</td>
                                    <td rowspan="2">4.1轿顶电气装置</td>
                                    <td>(1)检修装置</td>
                                    <td>符合</td>
                                    <td rowspan="2">合格</td>
                                </tr>
                                <tr>
                                    <td>(2)停止装置</td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td>19</td>
                                    <td>C</td>
                                    <td colspan="2"><strong>4.3(3)轿厢安全窗(门)电气安全装置</strong></td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td rowspan="2">20</td>
                                    <td rowspan="2">B</td>
                                    <td rowspan="2">4.5对重块</td>
                                    <td>(1)固定</td>
                                    <td>符合</td>
                                    <td rowspan="2">合格</td>
                                </tr>
                                <tr>
                                    <td>(2)识别数量的措施</td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td>21</td>
                                    <td>C</td>
                                    <td colspan="2"><strong>4.6(2)轿厢超面积载货电梯的控制条件</strong></td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td rowspan="2">22</td>
                                    <td rowspan="2">B</td>
                                    <td rowspan="2">4.8紧急照明和报警装置</td>
                                    <td>(1)紧急照明</td>
                                    <td>符合</td>
                                    <td rowspan="2">合格</td>
                                </tr>
                                <tr>
                                    <td>(2)紧急报警装置</td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td>23</td>
                                    <td>C</td>
                                    <td colspan="2">4.9地坎护脚板</td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td>24</td>
                                    <td>C</td>
                                    <td colspan="2"><strong>4.10轿厢超载保护装置</strong></td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td>25</td>
                                    <td>C</td>
                                    <td rowspan="7">5悬挂装置、补偿装置及旋转部件防护</td>
                                    <td colspan="2">5.1悬挂装置、补偿装置的磨损、断丝、变形等情况</td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td>26</td>
                                    <td>C</td>
                                    <td colspan="2">5.2端部固定</td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td rowspan="3">27</td>
                                    <td rowspan="3">C</td>
                                    <td rowspan="3">5.3补偿装置</td>
                                    <td><strong>(1)绳(链)端固定</strong></td>
                                    <td>符合</td>
                                    <td rowspan="3">合格</td>
                                </tr>
                                <tr>
                                    <td><strong>(2)电气安全装置</strong></td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td><strong>(3)补偿绳防跳装置</strong></td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td>28</td>
                                    <td>B</td>
                                    <td colspan="2"><strong>5.5松绳(链)保护</strong></td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td>29</td>
                                    <td>C</td>
                                    <td colspan="2"><strong>5.6旋转部件的防护</strong></td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td rowspan="2">30</td>
                                    <td rowspan="2">C</td>
                                    <td rowspan="14">6轿门与层门</td>
                                    <td rowspan="2">门间隙</td>
                                    <td>(1)门扇间隙</td>
                                    <td>≤10mm</td>
                                    <td rowspan="2">合格</td>
                                </tr>
                                <tr>
                                    <td>(2)人力施加在最不利点时间隙</td>
                                    <td>≤30mm</td>
                                </tr>
                                <tr>
                                    <td>31</td>
                                    <td>C</td>
                                    <td colspan="2"><strong>6.4玻璃门防拖曳措施</strong></td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td>32</td>
                                    <td>B</td>
                                    <td colspan="2"><strong>6.5防止门夹人的保护装置</strong></td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td>33</td>
                                    <td>B</td>
                                    <td colspan="2">6.6门的运行与导向</td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td>34</td>
                                    <td>B</td>
                                    <td colspan="2"><strong>6.7自动关闭层门装置</strong></td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td>35</td>
                                    <td>B</td>
                                    <td colspan="2">6.8紧急开装置</td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td rowspan="2">36</td>
                                    <td rowspan="2">B</td>
                                    <td rowspan="2">6.9门的锁紧</td>
                                    <td>(1)层门门锁装置</td>
                                    <td>≥8mm</td>
                                    <td rowspan="2">合格</td>
                                </tr>
                                <tr>
                                    <td><strong>(2)轿门门锁装置</strong></td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td rowspan="2">37</td>
                                    <td rowspan="2">B</td>
                                    <td rowspan="2">6.10门的闭合</td>
                                    <td>(1)机电联锁</td>
                                    <td>符合</td>
                                    <td rowspan="2">合格</td>
                                </tr>
                                <tr>
                                    <td>(2)电气安全装置</td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td rowspan="2">38</td>
                                    <td rowspan="2">B</td>
                                    <td rowspan="2"><strong>6.11轿门开门限制及轿门的开启</strong></td>
                                    <td><strong>(1)轿门开门限制装置</strong></td>
                                    <td>符合</td>
                                    <td rowspan="2">合格</td>
                                </tr>
                                <tr>
                                    <td><strong>(2)轿门的开启</strong></td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td>39</td>
                                    <td>C</td>
                                    <td colspan="2">6.12门刀、门锁滚轮与地坎间隙</td>
                                    <td>≥mm</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td>40</td>
                                    <td>C</td>
                                    <td rowspan="15">8试验</td>
                                    <td colspan="2">8.1平衡系数</td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td>41</td>
                                    <td>C</td>
                                    <td colspan="2"><strong>8.2轿厢上行超速保护装置试验</strong></td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td rowspan="2">42</td>
                                    <td rowspan="2">B</td>
                                    <td rowspan="2"><strong>8.3轿厢意外移动保护装置试验</strong></td>
                                    <td><strong>(1)制停情况</strong></td>
                                    <td>符合</td>
                                    <td rowspan="2">合格</td>
                                </tr>
                                <tr>
                                    <td><strong>(2)自监测功能</strong></td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td>43</td>
                                    <td>B</td>
                                    <td colspan="2">8.4(2)轿厢限速器-安全钳联动试验</td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td>44</td>
                                    <td>B</td>
                                    <td colspan="2"><strong>8.5对重(平衡重)限速器-安全钳联动试验</strong></td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td>45</td>
                                    <td>C</td>
                                    <td colspan="2">8.6运行试验</td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td rowspan="3">46</td>
                                    <td rowspan="3">B</td>
                                    <td rowspan="3">8.7应急救援试验</td>
                                    <td>(1)救援程序</td>
                                    <td>符合</td>
                                    <td rowspan="3">合格</td>
                                </tr>
                                <tr>
                                    <td>(2)救援通道</td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td>(3)救援操作</td>
                                    <td>符合</td>
                                </tr>
                                <tr>
                                    <td>47</td>
                                    <td>B</td>
                                    <td colspan="2">8.9空载曳引检查</td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td>48</td>
                                    <td>B</td>
                                    <td colspan="2">8.10上行制动工况曳引检查</td>
                                    <td>符合</td>
                                    <td>合格</td>
                                </tr>
                                <tr>
                                    <td>49</td>
                                    <td>B</td>
                                    <td colspan="2"><strong>8.11下行制动工况曳引检查</strong></td>
                                    <td>无此项</td>
                                    <td>无此项</td>
                                </tr>
                                <tr>
                                    <td>50</td>
                                    <td>B</td>
                                    <td colspan="2"><strong>8.12静态曳引检查</strong></td>
                                    <td>无此项</td>
                                    <td>无此项</td>
                                </tr>
                                <tr>
                                    <td>51</td>
                                    <td>B</td>
                                    <td colspan="2"><strong>8.13制动试验</strong></td>
                                    <td>无此项</td>
                                    <td>无此项</td>
                                </tr>
                            </tbody>
                        </table>
                    </div>
                    <div class="card-footer text-center">
                        <p>第2/2页</p>
                    </div>
                </div>
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